Individual
CARLA J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CFY-SLP, ATP
Contact information
Practice address
110 JOHNSON LANE, CCSHNC BARBOURVILLE, BARBOURVILLE, KY 40906-5330
(606) 546-5109
Mailing address
110 JOHNSON LANE, CCSHNC BARBOURVILLE, BARBOURVILLE, KY 40906-5330
(606) 546-5109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07-063
KY
Other
Enumeration date
08/16/2007
Last updated
08/24/2007
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